Tuesday, September 15, 2020

WHY CANADA, WHY?

 WHY CANADA...WHY?

ATTENTION:  Foreign Affairs Minister François-Philippe Champagne it's time for Canada to stop dealing in forest destruction.

 THE AMAZON IS BURNING AND SADLY CANADA IS PARTLY RESPONSIBLE! THE QUESTION IS WHY CANADA...WHY?

 ONE POINT EIGHT BILLION DOLLARS IS THE AMOUNT CANADA WILL PAY FOR BRAZILIAN BEEF. IT IS THE REASON BRAZILIAN FARMERS AND RANCHERS ARE BURNING THE AMAZON FOREST. THEY IGNORANTLY BELIEVE THEY ARE MAKING ROOM FOR CATTLE RANCHING AND FUTURE PROFITS  BUT IN REALITY THEY ARE DESTROYING MILLIONS OF PLANT AND ANIMAL SPECIES AND MURDERING INDIGENOUS PEOPLE! AND THE ONLY CONSEQUENCE  BURNING THE AMAZON FOREST WILL CREATE? DESERTIFICATION! 

 THE AMAZON FOREST CREATES PRECIPITATION AND WITHOUT THE FOREST THE AREA WILL DRY UP. THIS SCIENCE BASED FACT HAS NOT YET ENTERED THE SMALL MINDS PRESENTLY BURNING THE FOREST AND NEITHER HAS IT ENTERED INTO THE GREED FILLED CANADIAN NO-BRAINS PRESENTLY CREATING A FREE TRADE DEAL WITH BRAZIL. A FREE TRADE DEAL THAT IS MINUS ONE IMPORTANT CONDITION...PROTECT THE AMAZON RAIN FOREST! AND WHAT DO CANADIAN CATTLE RANCHERS AND FARMERS HAVE TO SAY ABOUT THIS DEAL?               

Hi Nelson,

I’m not going to lie - last week was tough. And if your newsfeeds are anything like mine, it was tough for you too. 

Images of sickeningly orange skylines and smoke-filled air poured in from across the globe - Brazil, Greece, Bulgaria, Argentina, California.

When it comes to the fires in the Amazon right now, however, I have hope because Canada has a direct role to play in putting them out. But we need to act fast.

Right now, our government is planning to proceed with negotiations for a Canada-Mercosur free trade deal with Brazil. And Brazil’s big agribusiness is celebrating the move. Why? Because the deal is expected to increase Brazil’s meat exports to Canada by as much as $1.8 BILLION annually. [1]

And yup - you guessed it. The production of cheap meat is the lead driver of the Amazon fires!

Will you join us in sending a message to Canada’s Minister of Foreign Affairs Francois-Philippe Champagne to immediately halt the Canada-Mercosur free trade negotiations and protect the Amazon?

Fires in the Amazon rainforest are not natural. They are deliberately set by land-grabbers and ranchers to expand the land used for cattle grazing and industrial agriculture production.[2] Brazil’s President Jair Bolsonaro has fueled the problem by dismantling environmental laws, slashing funding for environmental protection agencies and demolishing Indigenous land rights.

This has given free reign to big agro to clear and burn the forest. There has even been a surge in murders of Indigenous forest guardians as land-grabbers move in on Indigenous lands. [3]

Canada cannot be complicit in the destruction of the Earth’s vital forests and the violation of Indigenous rights. But our Foreign Affairs Minister needs to hear it from all of you before the trade deal goes through.

There is so much at stake - every person on earth depends on the Amazon to help regulate our climate. The rainforest sucks carbon from the air and stores it in billions of trees. It produces a “flying river” of water vapour that distributes rain across South America and impacts weather in other continents. [4]

If deforestation continues, the surviving forest would no longer be able to produce its own rainfall and quickly transform into an arid savannah – killing off species and releasing massive amounts of carbon into the atmosphere.

But this won’t move Brazil to act. Thus far, the only thing that has influenced Bolsonaro is intense international pressure from governments threatening to cut business ties unless the Amazon is protected. [5]

France and Germany have already halted further movement to ratify Europe's free trade deal with the Mercosur bloc. [6] What are we waiting for?  

It's time for Canada to halt this deal too. Tell Foreign Affairs Minister François-Philippe Champagne it's time for Canada to stop dealing in forest destruction.

Thank you for all you do. Your actions fuel my hope for the cooler, climate-safe future we know is within reach if we act now.

Shane

Head of Nature and Food Campaign, Greenpeace Canada

  1. Brazil optimistic about a Mercosur free trade accord with Canada. MercoPress, July 30, 2020.
  2. Where there’s cattle ranching and soybean farming, there’s fire, study finds. Mongbay, July 20, 2020.
  3. Brazil: Amazon land defender Zezico Guajajara shot dead. BBC News, April 2, 2020.
  4. Amazon, Bolsonaro, Cattle: the ABC’s of Destruction. Greenpeace Canada, September 3, 2020.
  5. Brazil bows to pressure from business, decrees 120-day Amazon fire ban. Mongabay, July 8, 2020.
  6. Feds pushed to abandon trade talks with Brazil over Amazon deforestation. Times Colonist, September 5, 2020.

  


Sunday, September 13, 2020

RNA PROVIDES KEY INFORMATION FOR TREATING COVID-19


Illustration of coronavirus protein binding to receptor on human cell.

A coronavirus uses a protein on its membrane—shown here in red in a molecular model—to bind to a receptor—shown in blue—on a human cell to enter the cell. Once inside, the virus uses the cells' machinery to make more copies of itself. (Juan Gaertner / Science Source)
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Rochester research into RNA structure and function provides key information for developing coronavirus treatments.

Viruses like the coronavirus that causes COVID-19 are able to unleash their fury because of a devious weapon: ribonucleic acid, also known as RNA.

A contingent of researchers at the University of Rochester study the RNA of viruses to better understand how RNAs work and how they are involved in diseases. As COVID-19 continues to spread around the globe, this research provides an important foundation for developing antiviral drugs, vaccines, and other therapeutics to disrupt the virus and stop infections.

Coronavirus update

The University’s website is a way to find guidance and critical information during a rapidly changing situation.

COVID-19 symptoms or exposure?

Find out what to do if you or a close contact have symptoms or think you may have been exposed.

“Understanding RNA structure and function helps us understand how to throw a therapeutic wrench into what the COVID-19 RNA does—make new virus that can infect more of our cells and also the cells of other human beings,” says Lynne Maquat, professor of biochemistry and biophysics at the University of Rochester Medical Center and the director of Rochester’s Center for RNA Biology.

In the past few decades, as scientists came to realize that genetic material is largely regulated by the RNA it encodes, that most of our DNA produces RNA, and that RNA is not only a target but also a tool for disease therapies, “the RNA research world has exploded,” Maquat says. “The University of Rochester understood this.”

In 2007, Maquat founded the Center for RNA Biology as a means of conducting interdisciplinary research in the function, structure, and processing of RNAs. The center involves researchers from both the River Campus and the Medical Center, combining expertise in biology, chemistry, engineering, neurology, and pharmacology.

While much of the research across the University has been put on pause, labs that are involved in coronavirus research remain active.

“Our strength as a university is our diversity of research expertise, combined with our highly collaborative nature,” says Dragony Fu, an assistant professor of biology on the River Campus and a member of the Center for RNA Biology. “We are surrounded by outstanding researchers who enhance our understanding of RNA biology, and a medical center that provides a translational aspect where the knowledge gained from RNA biology can be applied for therapeutics.”

How does coronavirus infect humans?

In mammals, such as humans, DNA contains genetic instructions that are transcribed—or copied—into RNA. While DNA remains in the cell’s nucleus, RNA carries the copies of genetic information to the rest of the cell by way of various combinations of amino acids, which it delivers to ribosomes. The ribosomes link the amino acids together to form proteins that then carry out functions within the human body.

Many diseases occur when these gene expressions go awry.

What does RNA stand for?

RNA stands for ribonucleic acid.

What is RNA?

RNA delivers the genetic instructions contained in DNA to the rest of the cell.

COVID-19, short for “coronavirus disease 2019,” is caused by the novel coronavirus SARS-CoV-2. Like many other viruses, SARS-CoV-2 is an RNA virus. This means that, unlike in humans and other mammals, the genetic material for SARS-CoV-2 is encoded in ribonucleic acid. The viral RNA is sneaky: its features cause the protein synthesis machinery of our cells to mistake it for RNA produced by our own DNA.

While SARS-CoV-2 is a new coronavirus, “it likely replicates and functions similar to related coronaviruses that infect animals and humans,” says Douglas Anderson, an assistant professor of medicine in the Aab Cardiovascular Research Institute and a member of the Center for RNA Biology, who studies how RNA mutations can give rise to human disease.

graphic created by the New York Times illustrates how the coronavirus that causes COVID-19 enters the body through the nose, mouth, or eyes and attaches to our cells. Once the virus is inside our cells, it releases its ribonucleic acid. Our hijacked cells serve as virus factories, reading the virus’s ribonucleic acid and making long viral proteins to compromise the immune system. The virus assembles new copies of itself and spreads to more parts of the body and—by way of saliva, sweat, and other bodily fluids—to other humans.

“Once the virus is in our cells, the entire process of infection and re-infection depends on the viral RNA,” Maquat says.

How is Rochester’s RNA research applicable to COVID-19? 

Horizontal portraits of Doug Anderson, Dragony Fu, and Lynne Maquat, scientists who study RNA of viruses.

Researchers Douglas Anderson, Dragony Fu, and Lynne Maquat are among the scientists at the University of Rochester who study the RNA of viruses to better understand how RNAs work and how they are involved in diseases. (University of Rochester photos / Matt Wittmeyer / J. Adam Fenster)

Maquat has been studying RNA since 1972 and was part of the earliest wave of scientists to realize the important role RNA plays in human health and disease.

Our cells have a number of ways to combat viruses in what can be viewed as an “arms race” between host and virus. One of the weapons in our cells’ arsenal is an RNA surveillance mechanism Maquat discovered called nonsense-mediated mRNA decay (NMD).

“Nonsense-mediated mRNA decay protects us from many genetic mutations that could cause disease if NMD was not active to destroy the RNA harboring the mutation,” she says.

Maquat’s discovery has contributed to the development of drug therapies for genetic disorders such as cystic fibrosis, and may be useful in developing treatments for coronavirus.

“NMD also helps us combat viral infections, which is why many viruses either inhibit or evade NMD,” she adds. “The genome of the virus COVID-19 is a positive-sense, single-stranded RNA. It is well known that other positive-sense, single-stranded RNA viruses evade NMD by having RNA structures that prevent NMD from degrading viral RNAs.”

Maquat’s lab is currently collaborating with a lab at Harvard University to test how viral proteins can inhibit the NMD machinery.

Like Maquat, Fu studies fundamental aspects of RNA—and has found that his research on proteins may, too, be applicable to coronavirus research.

Fu’s lab analyzes enzymes and proteins that modify the chemical structure of RNA and how these chemical modifications impact the function of RNA. A research group at the University of California, San Francisco, recently identified an interaction between a protein made by the SARS-CoV-9 virus and a protein Fu studies.

“This is an intriguing result, and we are currently thinking of ways this interaction could affect the host cell,” Fu says. “There is emerging evidence that RNA-based viruses undergo RNA modification, so we could use this knowledge to identify key links between the host and pathogen for development of a coronavirus vaccine or treatment.”

How can RNA research be used to develop coronavirus treatments and vaccines?

One of the reasons viruses are such a challenge is that they change and mutate in response to drugs.

“Targeting viral RNA, or the proteins it produces, is key for treating this disease.”

That means novel virus treatments and vaccines have to be created each time a new strain of virus presents itself. Armed with innovative research on the fundamentals of RNA, scientists are better able to develop and test therapeutics that directly target the RNAs and processes critical to a virus’s life cycle.

The University of Rochester Medical Center, for instance, is currently participating in a clinical trial to evaluate the safety and efficacy of a potential coronavirus treatment called remdesivir, an antiviral drug particularly tailored to attack RNA viruses. The drug inhibits RNA polymerase, an enzyme responsible for copying a DNA sequence into an RNA sequence.

The Medical Center is additionally collaborating on a clinical trial to test the efficacy of an RNA vaccine. Traditional vaccines against viruses like influenza inject the body with inactivated virus proteins called antigens. The antigens stimulate the body’s immune system to recognize the specific virus and produce antibodies in response, with the hope that these antibodies will fight against future virus infection.

RNA vaccines, on the other hand, do not introduce an antigen, but instead inject a short sequence of the virus’s RNA. This messenger RNA provides cells with instructions to produce the virus antigens themselves. While no RNA vaccines have yet been approved in advanced vaccine trials, these vaccines have an advantage over traditional vaccines in that they would be easier and quicker to produce, and would allow the body to generate a more natural response to a virus.

Anderson has found that alternative therapeutics, such as the gene-editing technology CRISPR, may additionally “usher in a new approach to how we target and combat infectious diseases,” he says.

For the past few years, Anderson’s lab has developed tools and delivery systems that use the RNA-targeting CRISPR-Cas13 to treat human genetic diseases that affect muscle function. CRISPR-Cas13 is like a molecular pair of scissors that can target specific RNAs for degradation, using small, programmable guide RNAs.

When the health crisis first became apparent in Wuhan, China, researchers in Anderson’s lab turned their focus toward developing a CRISPR-Cas13 therapeutic aimed at SARS-CoV-2. Applying the knowledge already available about coronavirus RNA replication, they designed single CRISPR guide RNAs capable of targeting every viral RNA that is made within a SARS-CoV-2 infected cell. Using a novel cloning method developed in Anderson’s lab, multiple CRISPR guide-RNAs could be packaged into a single therapeutic vector (a genetically engineered carrier) to target numerous viral RNA sites simultaneously. The multi-pronged targeting strategy could be used as a therapy to safeguard against virus-induced cell toxicity and prevent ‘escape’ of viruses which may have undergone mutation.

“Infectious viruses and pandemics seemingly come out of nowhere, which has made it hard to rapidly develop and screen traditional small molecule therapeutics or vaccines,” Anderson says. “There is a clear need to develop alternative targeted therapeutics, such as CRISPR-Cas13, which have the ability to be rapidly reprogrammed to target new emerging pandemics.”

While many new treatments for the novel coronavirus are being considered, there is one thing that is certain, Maquat says: “Targeting viral RNA, or the proteins it produces, is key for treating this disease.”

Read more

person in protective gear examining something he is holdingNew URMC coronavirus research examines immune response
Researchers at the New York Influenza Center of Excellence are launching a new study to determine if and when a person could be re-infected with the novel coronavirus and whether some people have pre-existing immunity.
nanoparticle filter.Rochester researchers pursue quick ways to detect COVID-19
Nanomembranes, optical sensors, blood analysis—Rochester faculty are turning previous research avenues to focus on ways to quickly detect novel coronavirus to speed treatment.
Planet earth with a medical mask.Ethicists: COVID-19 pandemic a ‘wake-up call’
Rochester philosophy faculty explore moral dilemmas presented by the crisis and how they intersect with larger structural questions.

 

Tags: 

CategoryScience & Technology

Astra Zeneca has voluntarily paused this study. Why?

 


Update – September 9, 2020:  AstraZeneca has voluntarily paused this study pending the investigations of independent safety review committees in the U.K. and U.S.
2020-09-03_COVID_vaccine_432
Volunteer Daryl Moorehead, 63, of Rochester, NY, receives a nasal swab from project coordinator Sarah Northup. Photo by J. Adam Fenster

The University of Rochester Medical Center (URMC) is joining a phase 3 clinical trial for a potential coronavirus vaccine being developed by AstraZeneca and the University of Oxford known as AZD1222. 

This is the second phase 3 coronavirus vaccine study to be conducted in Rochester.  On July 27, four volunteers in Rochester were the first in the nation to receive an experimental vaccine being developed by Pfizer and BioNTech.  Rochester was one of only four sites in the nation that also participated in early stage studies of the Pfizer/BioNTech vaccine.  Phase 3 represents the final stage of human testing prior to regulatory approval, production, and mass distribution. 

The Rochester arm of the AstraZeneca study is being led by Ann Falsey, M.D., Angela Branche, M.D., Mike Keefer, M.D., and Catherine Bunce, B.S., M.S.  Falsey and Branche oversee the URMC Vaccine and Treatment Evaluation Unit and Keefer and Bunce lead the URMC HIV Vaccine Trials Unit.  Both programs are part of the national COVID-19 Prevention Network (CoVPN), which was formed by the National Institute of Allergy and Infectious Diseases (NIAID) to help lead the scientific response to the pandemic.  NIAID is headed by Anthony Fauci, M.D.  

The vaccine being developed by the British and Swedish company AstraZeneca and the University of Oxford uses a harmless adenovirus that contains the genetic material of the COVID-19 spike protein. The vaccine stimulates production of the surface spike protein, which primes the immune system to recognize the virus if infected. 

Phase 1/2 studies conducted in the U.K. – the results of which were reported on July 20 in the journal Lancet – found that the vaccine was not only safe, but generated an immune response to the virus.  Whether or not the vaccine provides protection from coronavirus infection across a wide range of age groups and medical conditions are questions that the phase 3 study will now seek to answer. In addition to the U.S., phase 3 studies of the vaccine are also under way in the U.K., Brazil, and South Africa. 

2020-09-03_COVID_vaccine_508
Volunteer Marie Kennedy of Rochester receives a dose of COVID-19 vaccine or placebo administered by Ian Shannon, RN. Photo by J. Adam Fenster

The AstraZeneca trial is funded by NIAID and the Biomedical Advanced Research and Development Authority (BARDA), part of the U.S. Department of Health and Human Services’ Office of the Assistant Secretary for Preparedness and Response. The trial is being implemented as part of the Operation Warp Speed, a multi-agency collaboration led by HHS that aims to accelerate the development, manufacturing and distribution of medical countermeasures for COVID-19.

The randomized placebo-controlled clinical trial will recruit 30,000 people across 81 sites in the U.S. including 1,000 volunteers in Rochester.  Researchers are focusing on individuals in the Rochester area ages 18 to 85 who are at greater risk for coronavirus infection, such as health care workers, first responders, teachers, and people who work in restaurants or retail.  Because COVID-19 has had a disproportionate impact of people of color, researchers are working with community partners to invite Black and Latinx individual to participate in vaccine trials. 

Individuals interested in volunteering for the study can visit www.covidresearch.urmc.edu or call (585) 276-5212.  

Wednesday, September 9, 2020

Dear Justin Trudeau: Prime Minister of Canada.

When a few dozen Mexican farm workers finally decide to avoid being exploited and decide to walk away from the farm fields of Canada, thousands of hungry college and university trained Canadian bureaucrats will wonder what went wrong with the economic system. They may also wonder how to grow vegetables in office buildings and yes, it is possible to grow vegetables in office buildings using hydroponic gardening methods, and that is what they should be doing instead of button pushing. 

 Millions of bureaucrats certainly don't know how or where to grow and harvest vegetables and the private multi-million dollar sky scraper office buildings they inhabit today, during daylight hours, lock their doors at night. Technically trained office workers are seldom valued. They work for large multi-national  exploitive companies who have CEO's willing to do anything to maintain the status quo...and that includes keeping office workers from climbing up the hierarchy ladder. Those same companies will lobby the Canadian government for tax breaks.

 While millions of office workers remain trapped in their offices, some farmers in Quebec, Canada, plow under their crops because not enough Mexican workers are available to help them harvest their vegetables. Other farmers dump their milk or kill their chickens if the market under values their produce.  What in hell is going on? Are Canadian students and welfare recipients not given the opportunity to work on the land? Why are there so many office bureaucrats and not enough Canadian born farm workers? Why are our educational priorities so screwed up? Why not send teenagers into the woods to plant trees and also to the farms to learn from the farmers and also, from the Mexican farm workers? I also suggest the Canadian government not subsidize Oil companies or any company that creates pollution and keeps thousands of office workers busy finding ways to manipulate the citizens of Canada.

---------------------------------------------------------

The response to the COVID-19 pandemic has shown what Canada can do when we treat a crisis like a crisis. We have thrown out the old rulebook of what is politically possible and focused on what is politically necessary to protect ourselves and our loved ones. 

I want to thank you for your work in these difficult times, but also to tell you that I don’t want us to go back to a ‘normal’, or a system which creates rampant inequalities based on a model of infinite exploitation and destruction of nature.

Now that the time has come to rebuild our future — and we will — we need to have courage and foresight to create something better. The recovery from COVID-19 must make our society more resilient, fair and sustainable. 

People in Canada deserve a world that values cooperation and caring and a government that embeds these values in our public policies. That respects nature and lives within its limits. A Canada where Indigenous rights and wisdom are not just a slogan, but protected by law. A world that recognizes that solutions to climate change can create great jobs and a better future.  

A green recovery for Canada means investing in: Trees and gardens and Green-Houses for every citizen in proportion to the territory they inhabit.

A much faster and just transition to a sustainable low-carbon economy if climate change does not destroy us first with viral pandemics and floods and forest fires!

The protection and restoration of land, freshwater, and ocean ecosystems along with the wildlife that call these places home is now next to impossible today, in 2020, with our present human population growth. Sex education in the schools must become a priority and the school buildings themselves must be transformed into large round Sunlit Green Houses with computers and quiet rooms to study Botany and Biology and Science.

The current land development companies creating Condos and Apartments and Industrial Parks everywhere there is an inch of space must be shut down and reimagined. They have become dangerous exploiters and are potentially creating future overcrowded slums! Developers are buying up every piece of farm land and small Green space they could find available in Canada and especially in Quebec, which considers itself an independent country. These money hungry developers are backed by our tax hungry municipal governments and the over-crowding they are creating, will cost the federal government more in the future, if there is a future, as global warming continues to heat up the planet and continues to change the atmosphere. A few years ago in countries such as Syria, over-crowding and poverty and misery created civil disobedience which lead to...war! I suggest we create housing apartments under farm lands using protected fibre optic cables to bring sunlight down to the people. We can also convert under-used industrial parks back into apartment buildings and wrap the buildings in Greenery. Literally create buildings with thousands of plants growing on the roof tops and inside and outside the buildings. Europe is ahead of us in this respect. 

An end to the use of single-use plastics, and the growth of a circular economy. Money is not edible!

The replacement of toxic chemicals used in agriculture and in the creation of consumer goods. We need cleaner and safer manufacturing alternatives. Elon Musk and his Gigafactory is an example of a clean manufacturing plant. 

The development of accessible and affordable and healthy communities and transportation networks.  For example the Electric commuter busses presently used in the city of Moscow, Russia.

A future that prioritizes well-being and social and racial justice with economic equity for all people living in Canada...created in partnership with Indigenous Peoples and the communities most exposed to environmental harm.

I urge you to speak out in favour of a green and just recovery with your fellow Parliamentarians and the media and I look forward to working with you and our community to build this better world. Thanks for reading

Sincerely,

SIGNED: JOSEPH NELSON RAGLIONE.

human4us2.com

Saturday, September 5, 2020

How and why do steroids workSteroids work by decreasing inflammation and reducing the activity of the immune system. Inflammation is a process in which the body's white blood cells and chemicals can protect against infection and foreign substances such as bacteria and viruses.Jan 20, 2020

 Gentle People:

  I am not a medical expert but as a journalist looking for important facts on how Covid-19 infects
and kills people, I often ask the question how can this virus be stopped? I may be wrong but I am
beginning to understand that there is a connection between an over-reactive immune system and the death of many seriously infected elderly people.
 I am learning that steroids work to decrease inflammation and they reduce the body's immune
 reaction to the SARSCoV2. Twenty percent of patients seriously  infected with Covid-19 
were saved from death by the medical use of steroids which basically boosted their hormones. 

 This is one more piece now in place to a large puzzle that has been plaguing us...excuse the pun!
Young people with more hormones are less likely to fall sick with SARSCov2 than their elders who
have lost hormones due to the aging process. It is now known that healthy and hormonal young
people are better protected from Covid-19 than their elders and the question is,  how do hormones 
and steroids work to protect both young and old from Covid-19? 

Attention research scientists, please explain why steroids are saving lives.

A CBC REPORT. STEROIDS SAVE 20 %

Treating critically ill COVID-19 patients with corticosteroid drugs reduces the risk of death by 20 per cent, an analysis of seven international trials found on Wednesday, prompting the World Health Organization to update its advice on treatment.

The analysis — which pooled data from separate trials of low dose hydrocortisone, dexamethasone and methylprednisolone — found that steroids improve survival rates of COVID-19 patients sick enough to be in intensive care in hospital.

"This is equivalent to around 68 per cent of [the sickest COVID-19] patients surviving after treatment with corticosteroids, compared to around 60 per cent surviving in the absence of corticosteroids," the researchers said in a statement.That suggests that if the drugs had been used from the beginning of the pandemic, more than 170,000 people may have been saved out of the 860,000 who have died around the world of COVID-19 so far.

The trials — conducted by researchers in Britain, Brazil, Canada, China, France, Spain, and the United States — gave a consistent message throughout, showing the drugs were beneficial in the sickest patients regardless of age or sex or how long patients had been ill, said Jonathan Sterne, a professor of medical statistics and epidemiology at Britain's Bristol University who worked on the analysis.

Dr. John Marshall is a Toronto doctor who co-chaired a special World Health Organization clinical research team behind the analysis.

"It's a robust kind of effect," he told CBC News. "It's a drug that we know very well and its safety profile is well established. And it's inexpensive and quite broadly available."

The findings, published in the Journal of the American Medical Association, reinforce results that were hailed as a major breakthrough and announced in June, when dexamethasone became the first drug shown to be able to reduce death rates among severely sick COVID-19 patients.

A pharmacist displays an ampoule of the corticosteroid dexamethasone at the Erasme Hospital amid the coronavirus outbreak, in Brussels, Belgium on June 16. Low-dose hydrocortisone, dexamethasone and methylprednisolone all improve survival rates of COVID-19 patients sick enough to be in intensive care in hospital, new analysis shows. (Yves Herman/Reuters)

Dexamethasone has been in widespread use in intensive care wards treating COVID-19 patients in some countries since then.

Martin Landray, a professor of medicine and epidemiology at the University of Oxford who worked on the dexamethasone trial that was a key part of the pooled analysis published on Wednesday, said the results mean doctors in hospitals across the world can safely switch to using the drugs to save lives.

Results are 'clear,' but treatment not a cure

"These results are clear, and instantly usable in clinical practice," he told reporters. "Among critically ill patients with COVID-19, low-dose corticosteroids ... significantly reduce the risk of death."

Researchers said the benefit was shown regardless of whether patients were on ventilation at the time they started treatment. They said the WHO would update its guidelines immediately to reflect the fresh results.

The WHO initially warned against using steroids for COVID-19 because they were ineffective for the coronavirus disease SARS and potentially harmful.

Medical workers attend to a COVID-19 patient in an intensive care unit at a hospital in Sanaa, Yemen, in June. Steroids reduce the risk of death by 20 per cent among COVID-19 patients sick enough to be in intensive care in hospital, the new analysis shows. (Hani Mohammed/The Associated Press)

Until the June findings on dexamethasone, no effective treatment had been shown to reduce death rates in patients with COVID-19, the respiratory disease caused by the novel coronavirus.

It's still not clear why corticosteroids help patients with COVID-19, but researchers like Dr. Todd Rice at Tennessee's Vanderbilt University have a theory.

"It's becoming more and more clear that a later phase of this disease is dominated by an inflammatory component and hyper inflammation," he told CBC News. "And I think steroids are very good at decreasing that inflammatory component." 

More than 25 million people worldwide have been infected with COVID-19 and 856,876 have died, according to a Reuters tally.

Gilead Sciences Inc.'s remdesivir was authorized by United States regulators in May and Canadian regulators in July for use in patients with severe COVID-19 after trial data showed the antiviral drug helped shorten hospital recovery time.

Anthony Gordon, an Imperial College London professor who also worked on the analysis, said its results were good news for patients who become critically ill with COVID-19, but would not be enough to end outbreaks or ease infection control measures.

"Impressive as these results are, this is not a cure. We now have something that will help, but it is not a cure, so it's vital that we keep up all the prevention strategies."

With files from CBC News


  Hello my good friend Valdemar Oliveira! I am happy to hear you had a successfull heart operation.  I hope you live to be 110. I may not be...